NCLEX Questions, RN NCLEX Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

All of the following are risk factors for sudden infant death syndrome (SIDS) EXCEPT

Correct Answer: B

Rationale: Placing an infant on their back to sleep reduces SIDS risk. Low birth weight, young maternal age, and maternal smoking are known risk factors.

Question 2 of 5

The nurse administers a dose of acetaminophen to the wrong client. Which of the following actions is the most appropriate after notifying the physician?

Correct Answer: A

Rationale: Medication errors require notifying the supervisor and completing an incident report (
A) to ensure proper follow-up and system improvements. Retroactively obtaining an order (
B) is unethical, assuming acetaminophen is benign (
C) is unsafe, and documenting the error in the client's record (
D) is inappropriate.

Question 3 of 5

Which of the following statements regarding proper use of a cane is correct?

Correct Answer: B

Rationale: Downstairs, the cane and injured leg move first, followed by the good leg, ensuring stability. The cane is held opposite the injured side, with the elbow slightly bent, and reaches hip level.

Question 4 of 5

The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because:

Correct Answer: A

Rationale: Rest reduces spasticity and involuntary movements in cerebral palsy.

Question 5 of 5

The client's intravenous (IV) line has a gauze pad wrapped around the IV catheter at the insertion site and a transparent dressing over the gauze dressing. How long after application should the nurse change the dressing?

Correct Answer: B

Rationale: Transparent dressings should be changed when they loosen (
B) or per facility policy (typically every 5-7 days unless soiled or loose). Fixed intervals (C,
D) or IV rotation (
A) do not apply directly.

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